Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes at TWIN CITIES COMMUNITY HOSPITAL
1100 Las Tablas Rd, Templeton, CA · Adventisthealth · · NPI 1396778197
$23.66
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$338.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$54.91 with UHC MCR ADV vs $474.00 with AETNA - ALL OTHER PLANS — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| UHC MCR ADV | UHC MCR ADV | $54.91 | ↑ +132% |
| CENCAL MCR ADV - ALL OTHER PLANS | CENCAL MCR ADV - ALL OTHER PLANS | $54.91 | ↑ +132% |
| TRICARE BLUE SHIELD-ALL PLANS | TRICARE BLUE SHIELD-ALL PLANS | $54.91 | ↑ +132% |
| AETNA MCR ADV | AETNA MCR ADV | $54.91 | ↑ +132% |
| CFMG-CA FORENSIC MED GRP OP/PROFEE ONLY-ALL PLANS | CFMG-CA FORENSIC MED GRP OP/PROFEE ONLY-ALL PLANS | $71.38 | ↑ +202% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $98.84 | ↑ +318% |
| HPN-HERITAGE PROV NTWRK-ALL PLANS | HPN-HERITAGE PROV NTWRK-ALL PLANS | $114.92 | ↑ +386% |
| CHN-COMMUNITY HLTH NTWRK-ALL PLANS | CHN-COMMUNITY HLTH NTWRK-ALL PLANS | $185.90 | ↑ +686% |
| NBD-NTWRKS BY DESIGN NON-EXLUS | NBD-NTWRKS BY DESIGN NON-EXLUS | $195.20 | ↑ +725% |
| NBD-NTWRKS BY DESIGN EXLUS-ALL OTHER PLANS | NBD-NTWRKS BY DESIGN EXLUS-ALL OTHER PLANS | $195.20 | ↑ +725% |
| BLUE SHIELD EPN | BLUE SHIELD EPN | $244.00 | ↑ +931% |
| BLUE SHIELD HMO/POS | BLUE SHIELD HMO/POS | $280.00 | ↑ +1083% |
| UHC HMO | UHC HMO | $302.00 | ↑ +1176% |
| PACIFIC HEALTH ALLIANCE-ALL PLANS | PACIFIC HEALTH ALLIANCE-ALL PLANS | $304.20 | ↑ +1186% |
| BLUE SHIELD EPO/PPO - ALL OTHER PLANS | BLUE SHIELD EPO/PPO - ALL OTHER PLANS | $329.00 | ↑ +1291% |
| MEDI-CAL | MEDI-CAL | $338.00 | ↑ +1329% |
| UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $347.00 | ↑ +1367% |
| CENCAL MCAL | CENCAL MCAL | $385.32 | ↑ +1529% |
| BLUE SHIELD PROMISE MCAL | BLUE SHIELD PROMISE MCAL | $406.28 | ↑ +1617% |
| UHC PPO | UHC PPO | $431.00 | ↑ +1722% |
| COALINGA-ALL PLANS | COALINGA-ALL PLANS | $439.40 | ↑ +1757% |
| CCAH-CENTRL CA ALLINCE MCAL-ALL PLANS | CCAH-CENTRL CA ALLINCE MCAL-ALL PLANS | $439.40 | ↑ +1757% |
| AETNA - ALL OTHER PLANS | AETNA - ALL OTHER PLANS | $474.00 | ↑ +1903% |
Visitor-reported prices
Comments
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Fresno Medical Center | FRESNO | $196.56 | not published |
| St. John's Camarillo Hospital | Camarillo | $103.37 | $19.98 – $236.00 |
| Antioch Medical Center | ANTIOCH | $196.56 | not published |
| Redwood City Medical Center | Redwood City | $196.56 | not published |
| Santa Clara Medical Center | SANTA CLARA | $196.56 | not published |
| Baldwin Park Medical Center | BALDWIN PARK | $135.72 | not published |
| Riverside Medical Center | RIVERSIDE | $135.72 | not published |
| Fremont Medical Center | FREMONT | $196.56 | not published |